Da Silva Giovanna, Sirany Anne
Department of Colon and Rectal Surgery, Cleveland Clinic Florida, Weston, FL, 33331, USA.
F1000Res. 2019 Jul 31;8. doi: 10.12688/f1000research.15270.2. eCollection 2019.
Fecal incontinence (FI) is the uncontrolled passage of feces or gas in an individual who previously had control. The prevalence of the problem varies but can be as high as 50% of institutionalized individuals. The severity varies among individuals, but the negative impact on self-esteem and quality of life can have devastating effects. The goals of treatment are to decrease the frequency and severity of episodes as well as to improve quality of life. At present, several therapies, ranging from medical management to more invasive surgical interventions, are offered for the management of FI. In this article, we review the most recent advances in the management of FI.
大便失禁是指既往能够自主控制排便的个体出现粪便或气体的不自主排出。该问题的患病率有所不同,但在机构化照护的个体中可高达50%。个体之间严重程度各异,但对自尊和生活质量的负面影响可能具有毁灭性。治疗目标是减少发作的频率和严重程度,并改善生活质量。目前,针对大便失禁的管理提供了多种治疗方法,从药物治疗到更具侵入性的手术干预。在本文中,我们综述了大便失禁管理方面的最新进展。